MEDICARE: MS. COURTNEY L DEANGELIS PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	35SI00664600	NJ

General Provider Information

NPI Number	:	1427586585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. COURTNEY L DEANGELIS PSY.D.

Provider Business Mailing Address
First Line	:	808 HIGH MOUNTAIN RD STE 201
Second Line	:	SUITE 201
City	:	FRANKLIN LAKES
State	:	NJ
Zip	:	07417-2930
Country	:	US
Telephone Number	:	609-529-3392
Fax Number	:

Provider Business Practice Location Address
First Line	:	808 HIGH MOUNTAIN RD STE 201
Second Line	:
City	:	FRANKLIN LAKES
State	:	NJ
Zip	:	07417-2930
Country	:	US
Telephone Number	:	609-529-3392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2017
Last Update Date	:	10/17/2025

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